119-hr3483

[Congressional Bills 119th Congress]
[From the U.S. Government Publishing Office]
[H.R. 3483 Reported in House

    (RH) ]

<DOC>

 Union Calendar No. 300
119th CONGRESS
 1st Session
 H. R. 3483

 [Report No. 119-348]

 To amend title 38, to direct the Secretary of Veterans Affairs to use 
 an information technology system to detect fraud, waste, and abuse 
 regarding claims for payment submitted to the Secretary under the 
 Veterans Community Care Program.

_______________________________________________________________________

 IN THE HOUSE OF REPRESENTATIVES

 May 19, 2025

 Mr. Barrett introduced the following bill; which was referred to the 
 Committee on Veterans' Affairs

 October 21, 2025

 Additional sponsor: Mr. Haridopolos

 October 21, 2025

 Reported with an amendment, committed to the Committee of the Whole 
 House on the State of the Union, and ordered to be printed
 [Strike out all after the enacting clause and insert the part printed 
 in italic]
[For text of introduced bill, see copy of bill as introduced on May 19, 
 2025]

_______________________________________________________________________

 A BILL

 To amend title 38, to direct the Secretary of Veterans Affairs to use 
 an information technology system to detect fraud, waste, and abuse 
 regarding claims for payment submitted to the Secretary under the 
 Veterans Community Care Program.

 Be it enacted by the Senate and House of Representatives of the 
United States of America in Congress assembled,

SECTION 1. SHORT TITLE.

 This Act may be cited as the ``Forcing Real Accountability for 
Unlawful Distributions Act of 2025'' or the ``FRAUD Act of 2025''.

SEC. 2. DETECTION OF FRAUD, WASTE, AND ABUSE IN PROGRAMS OF THE 
 VETERANS HEALTH ADMINISTRATION.

    (a) In General.--Subchapter I of chapter 17 of title 38, United 
States Code, is amended by inserting after 

section 1706A the following 
new section (and amending the table of sections at the beginning of 
such chapter accordingly):
``

Sec. 1706B. Management of health care: detection of fraud, waste, and 
 abuse
 ``

    (a) In General.--To detect fraud, waste, and abuse in programs of 
the Veterans Health Administration, the Secretary shall use processes 
and systems, including the information technology system described in 
subsection

    (b) , to--
 ``

    (1) analyze a claim submitted to the Secretary by a 
 health care entity or provider that furnishes hospital care, 
 medical services, or extended care services under this chapter; 
 and
 ``

    (2) reanalyze a claim, described in paragraph

    (1) that 
 the Secretary determines may be fraudulent, after paying such 
 claim.
 ``

    (b) Information Technology System.--The information technology 
system described in this subsection shall include the following 
functions:
 ``

    (1) Continuous monitoring of claims to detect patterns 
 that may indicate fraud, waste, or abuse.
 ``

    (2) Analysis of historical and real-time claims data to 
 identify and predict potential fraudulent claims.
 ``

    (3) Ready-made analytic models to identify and analyze 
 fraudulent claims.
 ``

    (4) Post-payment analysis for overuse of services or 
 other practices that create unnecessary costs to the 
 Department.
 ``

    (5) Integration with existing claims processing systems 
 and technologies of the Department.
 ``

    (6) Logging, storage, analysis, and reports regarding the 
 nature, frequency, and financial impact of detected fraudulent 
 claims.
 ``

    (7) Identification of, and machine learning that is based 
 on, patterns of fraudulent claims in order to reduce false 
 positives and predict new forms of fraud.
 ``

    (8) Updates to detect new models of fraud, waste and 
 abuse.
 ``

    (9) Any other function determined necessary by the 
 Secretary.
 ``
            (c) Use of Franchise Fund.--To carry out this section, the 
Secretary shall use funds from the Department of Veterans Affairs 
franchise fund established under title I of Public Law 104-204 (38 
U.S.C. 301 note).
 ``
            (d) Report.--Not later than two years after the date of the 
enactment of the FRAUD Act of 2025, and annually thereafter for five 
additional years, the Secretary shall submit to the Committees on 
Veterans' Affairs of the Senate and House of Representatives a report 
regarding the operation of the processes and systems under subsection

    (a) during the preceding year. Each such report shall include the 
determination of the Secretary regarding the following elements:
 ``

    (1) The effectiveness of such processes and systems in 
 detecting fraud, waste, and abuse described in subsection

    (a) .
 ``

    (2) The estimated savings to the Department arising from 
 the use of such processes and systems.
 ``

    (3) Any plans to enhance, modify, or add new capabilities 
 to such processes and systems.''.

    (b) Implementation Date.--The Secretary of Veterans Affairs shall 
carry out 

section 1706B of such title, as added by subsection

    (a) , not 
later than one year after the date of the enactment of this Act.

SEC. 3. EXTENSION OF CERTAIN LIMITS ON PAYMENT OF PENSION.

 

Section 5503
            (d) (7) of title 38, United States Code, is amended by 
striking ``November 30, 2031'' and inserting ``January 30, 2034''.
 Union Calendar No. 300

119th CONGRESS

 1st Session

 H. R. 3483

 [Report No. 119-348]

_______________________________________________________________________

 A BILL

 To amend title 38, to direct the Secretary of Veterans Affairs to use 
 an information technology system to detect fraud, waste, and abuse 
 regarding claims for payment submitted to the Secretary under the 
 Veterans Community Care Program.

_______________________________________________________________________

 October 21, 2025

 Reported with an amendment, committed to the Committee of the Whole 
 House on the State of the Union, and ordered to be printed